An Illustrative Case of Subcutaneous Panniculitis-Like T-Cell Lymphoma.pdfVIP

Hindawi Publishing Corporation Journal of Skin Cancer Volume 2011, Article ID 824528, 5 pages doi:10.1155/2011/824528 Case Report An Illustrative Case of Subcutaneous Panniculitis-Like T-Cell Lymphoma Farshad Bagheri, Kelly L. Cervellione, Belkis Delgado, Luis Abrante, Jose Cervantes, Jitendra Patel, and Alan Roth Departments of Internal Medicine, Clinical Research and Family Practice, Jamaica Hospital Medical Center, 8900 Van Wyck Expressway, Jamaica, NY 11418, USA Correspondence should be addressed to Farshad Bagheri, fbagheri@ Received 22 September 2010; Accepted 7 January 2011 Academic Editor: S. Ugurel Copyright © 2011 Farshad Bagheri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a very rare form of skin lymphoma that is localized primarily to the subcutaneous adipose tissue without palpable involvement of the lymph nodes. Diagnosis of SPTCL is a challenge, especially during its early phases when symptoms mimic other, more common conditions, such as benign panniculitis, eczema, dermatitis, psoriasis and cellulitis. Clinical and systemic features are nonspecific and can include fever, chills, and weight loss. Further complicating diagnosis is the high number of false negatives provided by biopsy. Here we present a case of SPTCL that illustrates the full course of the disease, from presentation and multiple misdiagnoses to correct disease recognition and successful treatment. A review of the challenges of diagnosis is provided with recommendations for more accurate and timely recognition of SPTCL. 1